QUOTE REQUEST FORM
Please fax to 718-589-9940. For further assistance please call our salesman at 718-589-1556 Thank you!
Date of Order:
Please include cross streets and specific locale.
Please include PO, Job Number, and/or Job Name.
If metric, Dispatch will make the necessary conversion for you!
If you uncertain, please contact Dispatch.
Slab on grade, Caissons, Footing, Trench backfill, etc.
If you are pumping, you must inform Dispatch, and indicate type/size of pump.
How many minutes apart do you want the trucks.
How wet the concrete is as arrives to the job.
Color Fibers, High Range Water Reducer, etc.
Ice or Chilled Water, You will be billed for rejected loads on temp if you don’t select this.
Field Rep req'd?:
If yes do you have a preference? Please name here.
List here, any special notes that may affect this job.
List here who placed order, site phone, call in phone, etc.